Director Integrated Care Coordination

Jefferson Health Plans • Philadelphia, PA

2d • Onsite

About The Position

The Director of Integrated Care Coordination provides strategic and operational leadership for the Inpatient Care Management Department in alignment with hospital and Jefferson Health enterprise goals. In collaboration with Regional Director of Integrated Care Management and hospital leadership, the Director oversees all departmental operations, growth, and performance. This role is responsible for planning, directing, and coordinating an integrated care coordination and inpatient case management program across assigned acute care sites. The Director drives process improvements, innovation, and resource optimization to enhance quality outcomes and ensure seamless patient transitions across the continuum of care.

Requirements

• Master’s Degree in healthcare or management or Master’s Degree in social work/nursing/public health or Master’s Degree any with experience in in-patient care management. or Master’s Degree in Nursing.
• 3 years of progressively responsible hospital management/care management positions related to care management.
• Demonstrated knowledge of inpatient care management management.
• Interpersonal skills necessary to work with physicians and other health care professionals and administrative staff.
• Familiarity with EPIC.
• Ability to use PowerPoint, Excel and possess strong presentation skills.
• CCM - Certified Case Manager - Commission for Case Manager Certification within 3 Years or ACM - Accredited Case Manager - American Case Management Association Within 3 Years

Nice To Haves

• LCSW or LSW in the state of New Jersey.

Responsibilities

• Provides strategic and operational leadership for the care management department, aligning programs and goals with the hospital and Jefferson Health's mission, vision, and strategic plan.
• Develops and oversees departmental structures, policies, and processes to ensure high-quality, efficient, and compliant care coordination, discharge planning, and authorization processes.
• Directs and evaluates departmental operations and performance, including staffing, budgeting, quality initiatives, and integration of clinical best practices across multiple facilities using high reliability organizational principles.
• Collaborates with physicians, hospital leadership, multidisciplinary teams to facilitate effective care progression, discharge planning, and transitions across the continuum of care.
• Ensures regulatory and payer compliance and drives continuous improvement through data analysis, performance measurement, and innovation in population health management.
• Provides administrative oversight of daily operations, ensuring proper staffing, role deployment, and departmental effectiveness.
• Monitors productivity, vacancies, and turnover; develops strategies to recruit, retain, and develop staff.
• Guides managers in variance reporting and maintains departmental operating budgets.
• Serves as a resource for and mentor for managers and team members, fostering professional growth and performance excellence.
• Leads initiatives to develop, evaluate, and refine services to improve care quality, efficiency, and patient outcomes.
• Facilitates implementation of best practices and utilization management processes across the continuum.
• Oversees quality and data-driven performance improvement efforts, analyzing key metrics (e.g., LOS, Avoidable days, discharge barriers) to enhance outcomes.
• Identifies and applies technology solutions to support challenges and develop sustainable process improvements.
• Resolves complex issues related to patient care, discharge planning, coordination with families, agencies, and payers.
• Represents the department and Jefferson Health in internal and external committees, task forces, and professional forums.
• Promotes multidisciplinary collaboration through forums that address regional care delivery strategies and population health initiatives.
• Builds relationships with healthcare providers and community organizations to support seamless patient transitions and resource optimization.
• Ensures departmental compliance with regulatory, governmental, and payer requirements.
• Stays current on case management trends, best practices, and industry standards to guide ongoing departmental advancement.
• Encourages continuing education and development for staff to maintain clinical, regulatory, and leadership competencies.

Benefits

• medical (including prescription)
• supplemental insurance
• dental
• vision
• life and AD&D insurance
• short- and long-term disability
• flexible spending accounts
• retirement plans
• tuition assistance
• voluntary benefits
• tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service.

What This Job Offers

• Job Type: Full-time
• Career Level: Director